Federal AI landscape: executive briefing
Filtered: function = medical_clinical
Key findings
- 194 use-case records from 11 agencies: 92 deployed (47%), 17 pilots, 77 in development or acquisition, 8 retired, 0 with no stage reported.
- 116 records are designated high-impact; 4 of them (3%) answered at least one minimum-practice question.
- VA, HHS, NASA report 183 of 194 use cases (94%).
- 4% of reported deployed use cases (4 of 92) are classified as generative or agentic AI.
- Of 66 deployed high-impact use cases, 1 report a completed AI impact assessment and 62 leave every minimum-practice field blank.
- Interpretation: Blank practice fields are missing evidence, not evidence that a safeguard is absent. They mark where follow-up questions to the agency are most useful.
- Sourcing is reported for 58% of use cases. Where reported, 44% involve in-house development.
Lifecycle
| Stage | Records | Share |
|---|---|---|
| Deployed | 92 | 47% |
| Pilot | 17 | 9% |
| Pre-deployment | 77 | 40% |
| Retired | 8 | 4% |
AI technology
| Classification | Records | Share | Deployed |
|---|---|---|---|
| Generative AI | 23 | 12% | 3 |
| Classical / predictive ML | 60 | 31% | 30 |
| Natural language processing | 40 | 21% | 16 |
| Computer vision | 50 | 26% | 42 |
| Agentic AI | 9 | 5% | 1 |
| Other | 4 | 2% | 0 |
| Not reported | 8 | 4% | 0 |
Agencies
| Agency | Records | Deployed | High-impact | Completeness |
|---|---|---|---|---|
| VA · Department of Veterans Affairs | 145 | 75 | 112 | 66% |
| HHS · Department of Health and Human Services | 30 | 11 | 0 | 82% |
| NASA · National Aeronautics and Space Administration | 8 | 1 | 0 | 64% |
| DOT · Department of Transportation | 2 | 0 | 0 | 71% |
| DOJ · Department of Justice | 2 | 2 | 2 | 100% |
| DOI · Department of the Interior | 2 | 1 | 0 | 92% |
| USDA · Department of Agriculture | 1 | 0 | 0 | 100% |
| DHS · Department of Homeland Security | 1 | 0 | 0 | 58% |
| SSA · Social Security Administration | 1 | 1 | 1 | 100% |
| STATE · Department of State | 1 | 1 | 1 | 100% |
| DOE · Department of Energy | 1 | 0 | 0 | 100% |
High-impact designation
| Designation | Records |
|---|---|
| High-impact | 116 |
| Presumed high-impact, determined not | 1 |
| Not high-impact | 77 |
Governance evidence: use cases designated high-impact
| Practice | In place | In progress | Not in place | N/A or precluded | Other | No answer | In scope |
|---|---|---|---|---|---|---|---|
| Pre-deployment testing | 2 | 2 | 0 | 0 | 0 | 112 | 116 |
| AI impact assessment | 1 | 3 | 0 | 0 | 0 | 112 | 116 |
| Independent review | 1 | 3 | 0 | 0 | 0 | 112 | 116 |
| Ongoing monitoring | 2 | 2 | 0 | 0 | 0 | 112 | 116 |
| Operator training | 2 | 2 | 0 | 0 | 0 | 112 | 116 |
| Fail-safe | 2 | 2 | 0 | 0 | 0 | 112 | 116 |
| Appeal process | 0 | 2 | 0 | 2 | 0 | 112 | 116 |
| User and public consultation | 1 | 2 | 0 | 0 | 1 | 112 | 116 |
"In place" means the agency reported the practice as established. "No answer" means the field was blank; it says nothing about whether the practice exists.
Method
All figures are computed directly from the normalised inventory records. Category labels are normalised from the source answer options; original values are kept on each record. Governance answers are classified as in place, in progress, not in place, not applicable, precluded, waived, other or no answer, and blanks are never read as "no". See the Methodology page for full rules.
Limitations
- Figures are what agencies reported in the 2025 inventory. They are not verified, and registration of use cases is not complete for every agency.
- A blank answer is missing evidence, not evidence that a practice or safeguard is absent.
- Counts are use-case records. A larger portfolio does not indicate better performance or greater AI maturity, and agencies differ in how they split systems into use cases.
- The inventory has no budget, cost, accuracy or outcome data. None is shown or inferred here.
- This is a disclosure analysis. It is not an audit, a compliance determination or an official government assessment.
Source records
First 40 of 194 records, deployed first. The full list is available as CSV from the explorer with the same filters.
Prepared with Federal AI Intelligence by Irakli Petriashvili. Source: https://github.com/ombegov/2025-Federal-Agency-AI-Use-Case-Inventory